Faculty_Staff_Additional Pay_Dual Comp_Salary Increase

Salary Increase / Supplement / Additional Pay / Dual Compensation Request
Name of Employee*

First NameLast Name
Supervisor Name*

First NameLast Name
Supervisor Email *
example@example.com
I am submitting this form on behalf of*

MyselfA Direct Report (Supervisors Only)
Department*

College of Information and CommunicationsSchool of Information ScienceSchool of Journalism and Mass CommunicationsInformation and Communication Studies
Please wait for confirmation that this request for additional compensation/salary increase/etc. is fully approved before sharing with employees.
Type of Action:*

Salary Increase Request - FACULTY and STAFFAdditional Pay / Supplement - FACULTY ONLYDual Compensation - STAFF ONLY
Reason for Salary Increase Request*

Additional Skills, Knowledge (Staff Only)Change in and/or Additional Job Responsibilities (Staff Only)Compression (Faculty Only)EquityMerit/Performance IncreasePreemptive Retention (Faculty Only)Retention (Offer from outside of USC- copy of offer required)
Proposed Effective Date: (may change depending on approvals and HR deadlines)*
Proposed Salary Increase: *
Additional Pay / Supplement Defined*

Additional Duties / Special ProjectAdministrative RoleBonusCourse DevelopmentCourse OverloadGrant Related PayOther
If other, please explain: *
i.e. Publication in "The Conversation"
Define Administrative Role? *
Reason for Dual Compensation / Additional Pay (Staff)*

Additional Duties/Special ProjectBonusGrant Related PayOther
Start Date (may change based on approvals and HR deadlines) *

MonthDayYear
End Date *

MonthDayYear
Pay Type:*

SalaryHourly
Compensation Amount (Salary or Hourly): *
Number of Hours Per Week:*
Department Number: *
Fund Code: *
Class Code:*
Operating Unit:*
Project ID #:*
Course Number / Section: *
Enrollment Number:*
Justification:*
The following details are required: 1) Description of additional duties (i.e. special project, grant, course development, etc.), 2) What are the expected outcomes, 3) What is the timeline/deadline for final reporting/completion, 4) Does the request adhere to university and CIC policies and procedures and 5) Additional justification/comments (if applicable)
Justification for Salary Increase:*
Comments (Dean's Office)
Offer Letter (from outside of USC)*

Retention Offer Request
Cancelof
Supporting Documents (if applicable)

Cancelof
Should be Empty:

Salary Increase / Supplement / Additional Pay / Dual Compensation Request